Key Finding: Montana’s Medicaid Work Requirements Return as State Faces Budget Pressures Under Trump

Last updated: 14/06/2026 23:36

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Montana prepares to reimpose Medicaid work requirements as budget pressures mount and Trump administration signals federal support. The state faces a $150 million shortfall while serving 315,000 Medicaid beneficiaries. — Photo: Pete Alexopoulos / Pexels

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Montana's Medicaid program serves 315,000 residents – nearly one-third of the state's population. State projections show work requirements could reduce enrollment by 15-20%, saving $45-60 million annually.

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ByProf. Giorgi Pkhakadze

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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.